Montina Golphin Jackson in Atlanta - General Practice
Montina Golphin Jackson - NPI 1497875504
Montina Golphin Jackson is a General Practice in Atlanta, Georgia. Montina Golphin Jackson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Montina Golphin Jackson is 1497875504. The last update date is 2007-07-08.
Montina Golphin Jackson's current location address is 2197 Martin Luther King Jr Dr Sw, Atlanta, Georgia. You can contact this provider via phone number 4046991919 and fax number 4046991402. The mailing address for Montina Golphin Jackson is 2197 Martin Luther King Jr Dr Sw, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Montina Golphin Jackson |
|---|---|
| Address | 2197 Martin Luther King Jr Dr Sw, Atlanta, Georgia |
| Phone Number | 4046991919 |
| Fax Number | 4046991402 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1497875504 |
|---|---|
| Provider Enumeration Date | 2007-03-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2197 Martin Luther King Jr Dr Sw |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303101143 |
| Phone Number | 4046991919 |
| Fax Number | 4046991402 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DNO10785 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00443968A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Montina Golphin Jackson by the Centers for Medicare & Medicaid Services?
The Montina Golphin Jackson has been assigned the NPI (National Provider Identifier) 1497875504 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Montina Golphin Jackson?
The Montina Golphin Jackson is physically situated at 2197 Martin Luther King Jr Dr Sw, in the city of Atlanta, state of GA, with the postal code 303101143.
What is Montina Golphin Jackson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Montina Golphin Jackson is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Montina Golphin Jackson receive the assignment of its 1497875504 from the Centers for Medicare & Medicaid Services?
The Montina Golphin Jackson was issued its 1497875504 by the Centers for Medicare & Medicaid Services on 2007-03-30.
As of what date were the Montina Golphin Jackson's details last updated?
The information pertaining to the Montina Golphin Jackson, including its address, specialty, and other details, was most recently updated on 2007-07-08.